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General NPI Number Information
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NPI Number | 1790018794
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Entity Type | Organization
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Legal Business Name | VICTORY COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 1600 N LEE TREVINO DR SUITE C-4
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City | EL PASO
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State | TX
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Zip | 79936-5169
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Country | US
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Telephone | 915-591-4054
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Fax | 915-590-7222
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Provider Business Mailing Address
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Address Line | 1600 N LEE TREVINO DR SUITE C-4
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City | EL PASO
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State | TX
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Zip | 79936-5169
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Country | US
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Telephone | 915-591-4054
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Fax | 915-590-7222
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | ESTHER MONTY
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Credential | LPC
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Telephone | 915-591-4054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12928
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License Number State | TX
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